Allison Tate Miscarriage Doula Companion – SBD and PAILAdvocate Certified

Miscarriage Doula Companioning

I am so sorry that you are in need of companioning support due to miscarriage. Whether you are experiencing signs of an early or later gestation miscarriage, a chemical, molar or ectopic pregnancy, have learnt that you have had a silent/missed miscarriage or that your pregnancy will end prematurely and your baby will not survive, I validate you, your loss and your baby’s short life. Miscarriage can be devastating, and the loss or grief you may feel is not any less meaningful because your baby died earlier, rather than later in your pregnancy. Please know that you do not have to experience a miscarriage alone, I am here for you.

Knowing your birth options, making decisions or planning the disposition or memorial of your baby can feel overwhelming and impossible when you are experiencing shock and grief due to a miscarriage. I am here to slow things down, to validate your feelings and to support you in your decision making.

If you are experiencing early signs of a miscarriage, or have learned that you will miscarry, please text or call me on 813 203 4610 so that I can make arrangements to support you as promptly as possible. If I do not answer your call, please leave a voicemail or text.

As a miscarriage doula companion, my support includes:

Prior to Birth (Miscarriage)

  • Building a relationship with you, validating your experience and holding space for you as you identify what you need, explore your options, make informed decisions and navigate your feelings, emotions and grief.
  • Provision of information regarding the definition of pregnancy loss prior to the 20th week of gestation (miscarriage) under Florida Law and how it relates to your birth and disposition options.
  • Information and education about your rights, informed decision making, self advocacy and evidence based care in relation to miscarriage.
  • Information regarding miscarriage at different stages of gestation, what to expect and the birth options that may be available to you.
  • Exploration of your expectations of care throughout your miscarriage, your needs and options, and anything that is important to you.
  • Information regarding different birth options (waiting for your miscarriage to begin, induction medication, or dilation, aspiration and curettage) and support to discuss your options with your provider so you are able to make an informed decision regarding your care.
  • Support to find and connect with a medical provider if you have not done so prior to learning that you have/will miscarry, and you identify that medical care and is required, for example to have a sonogram, a blood draw to check if your blood is Rh-negative, or to talk over care options in your particular situation.
  • In person support during any appointments with your medical provider to facilitate your self advocacy, understanding your options, making informed choices and communicating your expectations of care.
  • Support to create a birth plan for your miscarriage – whether you will be waiting for your miscarriage to begin at home, will be having a medication induced miscarriage at home, in a clinic or in hospital, or will be having a medical procedure in a clinic or hospital.
  • Incorporating your partner or other support, as a key person in your miscarriage experience.
  • Signposting to a bereavement photographer if you would like photos to be taken of your baby after birth.

During Birth (Miscarriage)

  • Support to prepare your environment at home, including creating a birth space, gathering self care items and any items you may need to support your birth process.
  • Provision of a prepared miscarriage kit for use as required, based on your comfort needs and plan for your birth.
  • Support to prepare for birth at a clinic or hospital, including transportation, arranging childcare, gathering self care/comfort/postpartum items and preparing for your recovery.
  • In person support during birth at home to provide you with companionship, emotional support and comfort measures. I will remain with you for the full duration of your birth.
  • In person support at a clinic is likely to be restricted due to policy – I will provide emotional support prior to, and after your birth procedure.
  • In person support in a hospital will be dependent upon the method of birth – I will provide emotional support prior to, and after your surgical birth procedure and in person support for a medical induction.
  • Support as you make decisions regarding disposition and to facilitate conversations with the clinic or hospital regarding release of your birthed tissue/baby. Restrictive policies may limit the choices you would like to make.
  • Support to facilitate productive conversations with your care provider should standard care be in conflict with your preferences and expectations.
  • Support to explore your birthed tissues/baby – where appropriate, to explore tissue to identify baby, to give baby a saline bath, to take pictures and gather items to build memories/create a memory box.
  • Provision of a plastic vessel and cover to home your birthed tissue/baby in preparation for final dispostion.
  • Provision of items that will clothe/wrap your baby.

After Birth

  • Support to meet your immediate physical and emotional postpartum needs. I will remain with you until you feel settled and comfortable.
  • Support as required, to manage your post loss lactation and to explore lactation options, including keepsakes.
  • Signposting to organizations that provide self care bereavement boxes.
  • Support to set up a meal train or other postpartum care requests so your family/community network can support you in your physical/emotional recovery and healing if required.
  • Review of medical information given by your provider regarding your postpartum care needs and when to seek emergency care should you need to.
  • Signposting to the Office of Vital Statistics if you would like to apply for a Certificate of Non-Viable Birth.
  • Support as you consider your options regarding tissue testing.
  • Support to explore the final disposition of your birthed tissue/baby – including flushing, unofficial home burial or burial/cremation with a funeral home. Restrictive hospital, clinic and funeral/crematorium policies may limit the choices you would like to make.
  • Signposting to funeral homes in your community.
  • Signposting to organizations providing burial caskets, urns and burial/cremation clothing and organizations that provide financial assistance with these items.
  • Support to create and organize a funeral/ceremony for your baby or signposting to organizations that provide this support.
  • Support to create a memory box for your baby.
  • Provision of information about support groups (online or in person), mental health support, counselling services and any other sources of support that you identify you need to navigate life after the loss of your baby.